Value sample Masters in recognizing latent coronary insufficiency shows numerous works of Soviet and foreign clinicians (BL Gelman and GL Trongin, 1967; Master, 1967; Datey, Misra, 1968, etc.), A limitedthe number of diabetes patients have successfully used this method Bellet and Roman (1967), Kritniewski and Nowotna-Walkowa (1969).In our study, as recommended by the Master and accepted in this kind of work, the sample is considered positive when the horizontal reduction interval 5-T I and II standard, V4_6 and right chest leads by 1 mm or more, or at an oblique upward decrease this interval in thealso leads to 2 mm or more.It should be noted that the selective coronary angiography, to identify the presence of coronary atherosclerosis in patients with diabetes gave results consistent with the clinical and electrocardiographic criteria for ischemic heart disease (Herman, Gorlin, 1965).In view of the numerous other clinical-instrumental and clinical-sectional comparisons this circumstance suggests detecta
The presented our material shows that the age of the diabetic determines the frequency of the symptoms of coronary disease, but not the severity or duration of overt diabetes.A small number of cases of coronary heart disease in diabetic patients aged 31-40 years is not possible to associate only with diabetes, since coronary atherosclerosis occurs in people younger than 40 years without diabetes (3% of the total number of patients with myocardial infarction, he developed at the age ofup to 40 years of observation PE Lukomsky Tareeva and EM 1958).
Dynamics of coronary heart disease
We followed the dynamics of the development of coronary heart disease in 12 patients with juvenile form of diabetes.Despite the considerable duration of diabetes, only one of them was able to note the appearance of chronic coronary insufficiency up to 40 years and after 40 years for a 5th year coronary insufficiency, explicit or latent, was noted in all patients (two - myocardial infarction).
Thus, the credibility of the clinical and epidemiological and sectional studies demonstrating an increase in the frequency of atherosclerosis and coronary atherosclerosis at other sites in the presence of diabetes, is reduced by the fact that the largest share of the development of atherosclerosis in patients with diabetes refers to older children.However, this does not discredit the importance of diabetes as a risk factor, but merely indicates that it is implemented over the age of 40 years when creating other conditions conducive to the emergence and progression of atherosclerosis.A similar view came on the basis of their research as Herman and Gorlin (1965), Syllaba (1967), Nielsen (1967), and others.
repeatedly discussed the question of whether any particular clinical picture and dynamics of myocardial infarction in patientsdiabetes.The findings of different researchers turned mixed.Gillman and Sachse (1959) concluded that although diabetes predisposes to the development of coronary atherosclerosis and myocardial infarction, and prognosis arising myocardial infarction in patients not suffering from diabetes and they do not differ.AL Varshamov (1966) noted no significant difference in mortality from myocardial infarction in diabetic patients and in patients not suffering from them.